Walter Rivera, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14927 Issued in PR

Practice address

244 Calle Pino Tanyosho
Urb. Los Pinos
Arecibo, PR 00612-5930

Phone

(787) 884-6161

Fax

(787) 884-6966

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Corporacion Profesional de Servicios de Salud

  • General Practice Physician
  • Manati, PR
  • NPI 1093851008
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609886969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 CALLE PINO TANYOSHO",
            "address_2": "URB. LOS PINOS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006125930",
            "telephone_number": "787-884-6161",
            "fax_number": "787-884-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 CALLE PINO TANYOSHO",
            "address_2": "URB. LOS PINOS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006125930",
            "telephone_number": "787-884-6161",
            "fax_number": "787-884-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nestor Rivera, LPC
• Raul F Rivera, M.D.
• Rosa I Rivera, SOCIAL WORKER
• Siri Jailene Rivera, MD
• Sonia Luz Rivera, LIC.
• Victor Rafael Rivero, M.D.
• Luis Angel Roa Cordero, NP-C
• Gladys A Roca
• Rene Rocha Rodriguez, M.D.
• Gustavo Rodriguez Alvarez, MD

• General Practice Physician in Arecibo, PR
• Providers in Arecibo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.